<!-- From Uiverse.io by themrsami - Tags: purple, white, form, light, tailwind, tailwindcss, contact form -->

  <div class="w-full max-w-[300px] bg-white rounded-lg shadow-md p-6">
    <h2 class="text-2xl font-bold text-gray-800 mb-4">Contact Form</h2>

    <form class="flex flex-col">
      <input type="text" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Full Name">
      <input type="email" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Email">
      <input type="number" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Phone Number">
      <input type="text" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Company Name">
      <input type="text" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Job Title">
      <input type="date" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Date of Birth">
      <textarea name="message" class="bg-gray-100 text-gray-800 border-0 rounded-md p-2 mb-4 focus:bg-gray-200 focus:outline-none focus:ring-1 focus:ring-blue-500 transition ease-in-out duration-150" placeholder="Message"></textarea>

      <button type="submit" class="bg-gradient-to-r from-indigo-500 to-blue-500 text-white font-bold py-2 px-4 rounded-md mt-4 hover:bg-indigo-600 hover:to-blue-600 transition ease-in-out duration-150">Submit</button>
    </form>
  </div>


